Premier Dermatology a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A70851 Issued in CA

Legal business name

PREMIER DERMATOLOGY A MEDICAL CORPORATION

Practice address

55 Hawthorne St
Suite 520
San Francisco, CA 94105-3906

Phone

(415) 371-8600

Fax

(415) 371-8603

NPI assigned

Jan 6, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie H Jhin, M.D.

Title

Owner

Phone

(415) 371-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Ann Altemus, DO

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1821180993
  NPD (past)
• Kathy Chen

  • Physician Assistant
  • San Francisco, CA
  • NPI 1871255927
  NPD (past)
• Lori Ross, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1891342838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1659675577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HAWTHORNE ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053906",
            "telephone_number": "415-371-8600",
            "fax_number": "415-371-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HAWTHORNE ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053906",
            "telephone_number": "415-371-8600",
            "fax_number": "415-371-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DERMATOLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "JHIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-371-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A70851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Dermatology, Inc.
• Precision Healthcare Associates, LLC
• Precision Lifestyle Medicine Institute
• Michael Prehn
• Lily Prekaski, PT, DPT, CSCS
• Premier Wound Corporation
• Premise Health of California Medical PC
• Premise Health of California Medical PC
• Mukund Premkumar, MD
• Nana Agya Boakye Atonsah Prempeh, MD

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.